FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 NORTH COUNTY DIVISION, 325 S. MELROSE DR., SUITE 130,VISTA, CA 92081 IN THE MATTER OF THE PETITION OF JUDGMENT DECLARING CHILD FREE FROM PARENTAL CUSTODY AND CONTROL CASE NUMBER The petition of _____________________________ for a judgment declaring _________________________, a minor, free from the custody and control of ________________________________________, presumed parent, was heard on ______________ before ____________________________, Judge presiding. Appearing in court: ___________ ________________________________________________________________________________________________. The court having sworn and examined _______________________________________, and other evidence, both oral and documentary, having been introduced and good cause appearing, the court makes the following findings and orders: Notice of the hearing on the petition was given to the presumed parent, as required by Fam. Code § 7881 or 7882. The San Diego County Health and Human Services Agency has filed a report, as required by Fam. Code § 7851. There is clear and convincing evidence that the above-named minor(s) should be declared free from the custody and control of the above-named parent(s), pursuant to Fam. Code § . The requirements of that part are satisfied. It is in the best interest of the child(ren) to be declared free from the custody and control of the above-named parent(s) and there is no less detrimental alternative to provide for the child(ren)’s best interest. __________________________________ is/are freed from the custody and control of _________________________. All parental rights and responsibilities with regard to the child(ren) are terminated. IT IS SO ORDERED. Date: ________________________ SDSC JUV-246 (New 9/12) __________________________________________ Judge of the Superior Court JUDGMENT DECLARING CHILD FREE FROM PARENTAL CUSTODY AND CONTROL Fam. Code § 7800 American LegalNet, Inc. www.FormsWorkFlow.com